Human rights group Amnesty International has published a report criticizing nations, including the United States, for allowing inmates with mental or intellectual disabilities to be executed — a violation of international standards, the group wrote.

Thereport, released on this year’s World Day against the Death Penalty, said nations that flout international law must reorient – if not outright abolish – capital punishment laws to protect vulnerable inmates.

Amnesty International, along with the World Coalition Against the Death Penalty, said mentally-disabled or -ill prisoners sentenced to be executed may not have the mental capacity to“appreciate the unlawfulness or nature of his or her conduct, or capacity to control his or her conduct to conform to the requirements of law,”as stated by the Rome Statute of the International Criminal Court.

“International standards clearly require that those suffering from mental and intellectual disabilities should not face the ultimate punishment,”saidAudrey Gaughran, Amnesty International’s Global Issues director.“But in many cases disabilities are not identified during criminal processes.”

For example, the report detailed a handful of mentally-disabled prisoners in the US who have been or are scheduled to be executed in 2014.

Among those already executed despite strong evidence of mental impairment: Askari Abdullah Muhammad, who was executed in Florida on Jan. 7 for a 1980 prison murder and had a long history of mental illness, including paranoid schizophrenia; and Ramiro Hernandez Llanas, who was executed in Texas on April 9 despite intellectual disabilities exhibited in six different IQ tests conducted during the last decade.

Prisoners in the US on death row following murder convictions who are currently seeking clemency in Florida include Frank Walls, who has been“assessed as functioning at the level of a 12-year-old and as suffering from brain damage, brain dysfunction and major psychiatric disorders,”according to the report, and Michael Zack, who, after suffering years of physical, sexual and psychological abuse as a child, was assessed by mental health experts as suffering from“post-traumatic stress disorder, chronic depression and possible brain damage,”and that he “had the mental and emotional age of a young child, and that his ability to appreciate the criminality of his conduct had been substantially impaired.”

The report pointed out that US law remains ambiguous on the rights of the mentally ill to avoid “cruel and unusual punishments” despite protections for the criminally insane.

“In 1986 in Ford v. Wainwright the US Supreme Court of the United States of America stated that the execution of the ‘insane’ violates the US Constitution’s Eighth Amendment ban on ‘cruel and unusual punishments.’ However, the Ford ruling neither defined competence for execution, nor mandated specific procedures that were to be followed to determine whether a person was competent for execution.”

Japan, Pakistan and Malaysia are among the other nations Amnesty International criticized for inhumane treatment of mentally-ill inmates facing capital punishment.

Outside of issuing a moratorium on capital punishment, with the aim of eventual abolishment of the practice, the report recommended nations afford prisoners scheduled for execution“have access to regular, independent and rigorous mental health assessment”at all stages of their incarceration; are afforded treatment and are removed from death row upon diagnosis of a mental disorder; are given clear information about details of their case and execution, as are their relatives and legal representatives; and are detained under conditions that comply with international standards, which do not include any form of solitary confinement.

“Countries that still execute must ensure that there are resources to carry out independent and rigorous assessments of anyone facing the death penalty, from the time they are charged and continuing after the sentence,”said Amnesty International’s Gaughran.

“We urge governments of all countries that still resort to the death penalty to immediately establish a moratorium on executions as a first step towards abolition. What we are highlighting today is yet another example of the injustice of this penalty.”

Thirty inmates have been executed in the US thus far in 2014. Eighteen more are scheduled for capital punishment, though five of those executions have been suspended, or stayed, and four more will likely be stayed in the future,accordingto the Death Penalty Information Center. Thirty-nine inmates in were executed in the USin 2013. The state of Texas has executed the most prisoners – well over 500 – since 1977.

In recent years, many US states have turned to secretive sources, often compounding pharmacies, to supply execution‘cocktails’using unproven drugs to carry out capital punishments. These actions were the result of the European Union’s ban – in place over moral objections to capital punishment – against its pharmaceutical companies selling to US state correctional departments drugs that could be used in lethal injections.

Yet, compounding pharmacies do not produce their drugs under regulations enforced by the US Food and Drug Administration. In addition,multiple prisonerssubjected to the unproven drugs have exhibited obvious pain and torment during lethal injections, leading many to question just how safe they are and further calling into questionhow humane or ethicalthe death penalty can be considered.